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首页> 美国政府科技报告 >Evaluation of Paramedic Services for Cardiac Arrest
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Evaluation of Paramedic Services for Cardiac Arrest

机译：评估护理人员对心脏骤停的服务

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A three-year quasi-experimental study evaluated the impact of paramedic services on mortality from out-of-hospital cardiac arrest. In the study community the rate of admission following cardiac arrest due to heart disease improved from 19 percent to 34 percent (p less than .01) with the addition of paramedic services to existing basic life support by emergency medical technicians. The discharge rate increased from 7 percent to 17 percent (p less than .01). The rates of admission and discharge did not change significantly in the control communities. The most significant factors associated with successful resuscitation were a short interval from collapse to initiation of CPR and a short interval from collapse to provision of definitive care (defibrillation, medication, and intubation). For those patients discharged alive, the probability of survival to 12 months was 70 percent. Findings of this study suggest several options to further enhance survival from cardiac arrest.

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